Dive into a Tranquil World A Yoga Retreat with Deva Biswas

REGISTRATION FORM

PERSONAL INFORMATION

First Name:*

Last Name:*

Pure Card No. (if applicable):

Gender:*

	Male
	Female

City:

Mobile:*

Other Contact No.:

Email:*

Confirm Email:*

Emergency Contact Person:*

Emergency Contact Number:*

ACCOMMODATION
* If you have a partner for a Twin Share room, please indicate partner’s name upon registering
* Partners must also submit a separate registration
* If you have no indicated partner, the Twin-share option will be subject to availability only.

Occupancy / Room	Early-bird 10% Ends 21 October	Regular Price
SINGLE OCCUPANCY:
Executive room	HK$10,580	HK$11,755
Business Class Suite	HK$12,580	HK$13,975



DOUBLE / TWIN-SHARE: Partner Name:
Executive room	HK$7,380	HK$8,200
Business Class Suite	HK$9,380	HK$10,425

PERSONAL DETAILS FOR FLIGHT TICKET:

Your Full name as shown on passport:

First name:*

Middle name:*

Last name:*

Your Date of Birth:*

Your Passport Number:*

Your Passport Issuing country:*

Your Passport Expiry Date:*

I declare that all the above information is complete and correct. I understand that any changes made after ticket issue will be subject to a penalty by the airline.

TO CONFIRM YOUR REGISTRATION:

1. You will receive a Confirmation Email from the Events Department at Pure within 3 business days after your registration is successfully submitted

2. Full payment must be received by In Travel Ltd. within 7 days of Confirmation Email sent

ADDITIONAL INFORMATION:

Any comments – injuries / physical concern / flight arrangement:

By submitting your application, you agree to the following Terms and Conditions*

	Yes
	No

Enquiries:

. For enquiries, please contact Pure Yoga Events at Tel:(852)3691-3843 or Email retreats@pure-yoga.com

Travel agent: In Travel Ltd. Licence No: 350922

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